| NPI | 1063014108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA61247675) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 3732) |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2022-11-30 |